@layout("/common/_form.html",{js:["/assets/manager/flowMemberComment/flowMemberComment_edit.js"]}){

<form class="layui-form" id="flowMemberCommentForm" lay-filter="flowMemberCommentForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="commentId" type="hidden"/>
                    <input name="orderId" id="orderId" type="hidden"/>
                    <input id="memberId" name="memberId" type="hidden">
                    <input id="imgUrls" name="imgUrls" type="hidden">
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">会员名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="memberName" name="memberName" placeholder="请输入会员名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">服务城市<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="city" name="city" placeholder="请输入服务城市" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="memberPhone" name="memberPhone" placeholder="请输入联系电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">评价内容</label>
                        <div class="layui-input-block">
                            <textarea name="note" id="note" placeholder="请输入评价内容" class="layui-textarea"></textarea>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">分数<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="start" name="start" placeholder="请输入分数" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label"><span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="orderType" name="orderType" placeholder="请输入" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">服务类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="typeName" name="typeName" placeholder="请输入服务类型" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">标签</label>
                        <div class="layui-input-block">
                            <input id="tag" name="tag" placeholder="请输入标签" type="text" class="layui-input"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">评价图片</label>
                        <div class="layui-input-block" id="formList">

                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}